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Öğe The approach of smokers to the new tobacco law and the change in their behaviour(Turkish Assoc Tuberculosis & Thorax, 2012) Atilla, Nurhan; Koksal, Nurhan; Ozer, Ali; Kahraman, Hasan; Ekerbicer, HasanIntroduction: The aim of our study is; to assess the approach of smokers to tobacco law, examine changes in their smoking related behaviors after the new law and determine the factors associated with these changes. Materials and Methods: Data collected by questionnaire including 30 question. We applied the questionnaire to 1509 current smokers, and ex-smokers who quitted smoking after the law. SPSS packet programme was used for analyses. Results: Participants consisted of 419 (28.0%) female, 1090 (72.0%) male with an average age of 33.6 +/- 10.5 years. Although 80% of them knew that passive smoking is harmful to non-smokers, rate of smoking at home and in the car were very high. 869 (58.0%) of participants supported the law. 87 (5.8%) smokers quitted smoking after the law, 316 (20.9%) reduced. While health problems (37.3%) were the most frequent reason for quitting, restriction of smoking area had the most effect to reduce (54.2%). Conclusion: We satisfied that; the new tobacco law encouraged smokers to quit smoking. In addition, the majority of smokers supported the law.Öğe Bir tekstil fabrikasında çalışan işçilerin solunum fonksiyonlarının değerlendirilmesi(2011) Kahraman, Hasan; Sucaklı, Mustafa Haki; Özer, Ali; Köksal, NurhanÖz: Amaç: Pamuk tozu, tekstil iş ortamlarında çalışan işçilerin akciğerlerini etkileyen bir faktördür. Solunum fonksiyon testleri (SFT) akciğer fonksiyonlarındaki etkilenmeyi gösteren önemli bir yöntemdir. Çalışmamız kesitsel nitelikte olup, tekstil fabrikasında solunabilir toz oranları, çalışma süreleri ve bu değerlerin SFT üzerindeki etkisi araştırıldı. Gereç ve yöntem: Yüz doksan altı işçi, çalıştıkları ünitelere göre beş gruba ayrılarak, FEV1, FVC, FEV1/FVC, PEF, MEF25, MEF75 ve MMEF parametreleri ölçüldü. Çalışma sürelerine, ortamın toz miktarlarına ve leke temizleme bölümünde maruz kalınan solunabilir seviyedeki trikloretilen oranına bakıldı. Ortam atmosferinde bulunan solunabilir toz konsantrasyonları, gravimetrik yöntemle hesaplandı. Bulgular: Ortam toz miktarları kabul edilebilir değerlere yakındı. Toz miktarları bakılmış gruplar ile SFT değerleri kıyaslandı ve bazılarında istatistiksel olarak anlamlı farklılıklar saptandı. Çalışma süreleri 1, 2, 3 ve üstü yıl olmak üzere üç grupta değerlendirildi. Ortalama çalışma süresi 2,2 yıl ve en uzun çalışma süresi 8 yıl idi. Çalışma süresi 3 yıl ve üstü olan grupta, FEV1/FVC, MEF25 ve MMEF parametrelerinde diğer gruplara kıyasla istatistiksel olarak anlamlı azalmalar saptandı (p<0,05). Trikloretilene maruz kalan işçilerde, bu maddenin ortamda kabul edilebilir sınırlarda olmasına ve FEV1/FVC, MEF25 ile MMEF değerlerinde düşüşler saptanmasına rağmen bu farklar istatistiksel olarak anlamlı değildi (p>0,005). Sonuç: Pamuk tozuna maruziyet ortamında ortalama 2,2 yıl gibi çalışma süresinde bile bazı akciğer fonksiyonlarının etkilendiği görüldü. Sonuç olarak, tekstil fabrikasında çalışma süresinin uzamasıyla FEV1/FVC, MEF25 ve MMEF gibi SFT parametre değerlerinde anlamlı düşüşler saptandı.Öğe The Evaluation of Prick Test Results in Malatya(Derman Medical Publ, 2015) Kahraman, Hasan; Kilic, Talat; Sucakli, Mustafa HakiAim: Skin prick test used for determination of allergic diseases is an easy, cheap, safe, fast, and frequently utilized test. There are factors such as genetic tendency, climate, humidity, vegetation, and altitude affecting the development of allergy. Our goal is to determine the allergic susceptibility of allergic patient in Malatya province. Material and Method: The 403 patients who referred to our chest clinic in Malatya between January 2008 and June 2010 with complaint of respiratory allergic diseases including asthma and allergic rhinitis were retrospectively investigated. Skin prick test results were evaluated according to age and gender. Results: Of the 403 patients incorporated to the study, 177 (43.9%) were male, 226 (56.1%) were female. Most common reaction was against to grasses, in 78 patients (19.4%). The other common reactions were found against to grains, in 70 patients (17.4%); to D. Farinea in 51 patients (12.7%); to D Pteronyssinus in 44 patients (10.9%); to grass mix in 41 patients (10.2%). Although reactions were higher in men than in women, only against to D. Pteronyssinus was statistical significant (p=0.032). Reactions were observed most commonly in 10-19 age group and secondly in 20-29 age group. Discussion: Atopic patients in Malatya province should be careful especially against to grasses, grains, and house dust mites.Öğe Evaluation of Pulmonary Function Tests in Workers of a Textile Factory(Aves, 2011) Kahraman, Hasan; Sucakli, Mustafa Haki; Ozer, Ali; Koksal, NurhanAim: Cotton dust found in textile environment is a factor effecting the lungs of the textile workers. Pulmonary function tests (PFT) are important methods for determining affection of lung function. This cross-sectional study was performed in order to measure respirable dust amount, working periods and effects of these values on pulmonary functions. Material and method: Hundred and ninety six textile workers were examined in 5 groups according to working locations. Parameters of FEV 1, FVC, FEV 1 / FVC, PEF, MEF 25, MEF 75 and MMEF were measured. Working periods, dust concentration of environment and amount of soluble trichloroethilene in stain removing group were determined. The concentrations of soluble dust in the environment were measured by gravimetric method. Results: Amounts of measured environmental dust were near to the acceptable levels and differences were determined among groups. Groups were compared according to the PFT values and some statistically significant differences were found. Working periods were divided into 3 groups as 1, 2 and = 3 years. Mean working period was 2.2 years and maximal working period was 8 years. Statistically significant reductions were found in FEV 1 / FVC, MEF 25, MMEF parameters of group 3 compared to group1 and 2 (p<0,005). In stain removing workers, while amount of soluble trichloroethilene was in acceptable range, FEV 1 / FVC, MEF 25, and MMEF parameters were lower than other groups but the differences were not statistically significant (p> 0,005). Conclusion: It was seen that some of the lung functions were affected by mean 2.2 year working period with cotton dust exposure. As a result, by increasing working period, statistically significant reductions were found in parameters of FEV 1 / FVC, MEF 25 and MMEF.Öğe Longitudinal pulmonary functional loss in cotton textile workers: A 5-year follow-up study(Int Scientific Literature, Inc, 2013) Kahraman, Hasan; Sucakli, Mustafa Haki; Kilic, Talat; Celik, Mustafa; Koksal, Nurhan; Ekerbicer, Hasan CetinBackground: Occupational exposure to cotton dust causes several diseases affecting the lungs, but only limited information is available on effects of long-term exposure. In this study, we aimed to evaluate longitudinal changes in selected parameters of pulmonary function in textile workers. Material/Methods: This prospective cohort study began with 196 textile workers in 2006 and was completed in 2011 with 49 workers. We used standardized tests for pulmonary function on participants on the first day of the workweek in June of 2006 and 2011. Environmental samples of cotton dust were gathered with a vertical elutriator. Loss of pulmonary function was assessed based on gender and smoking status. Results: The mean number of years participants worked in the textile factory was 7.61 +/- 1.83 years, and the mean age was 35.3+5.8 years. The annual FEV1 loss of all workers was 53.2 ml, giving a ratio of annual FEV1 loss to baseline FEV1 of 1.4%. Pulmonary function parameters of all participants in 2011 were significantly lower than those in 2006 (for all, p<0.05). In both surveys, pulmonary function in current smokers was lower, but this difference was not significant (p>0.05). Conclusions: This study provides the first data on pulmonary functional loss in Turkish textile workers and supports the findings of other cohort studies that workers with long-term exposure to cotton dust may lose some pulmonary function. The ratio of annual FEV1 loss to baseline FEV1 appears to be a more accurate and comparable method than annual FEV1 loss for evaluating pulmonary functional loss.Öğe Preventive Effect of Chrysin on Bleomycin-Induced Lung Fibrosis in Rats(Springer/Plenum Publishers, 2014) Kilic, Talat; Ciftci, Osman; Cetin, Asli; Kahraman, HasanThe aim of the current study is determination of protective effect of chrysin (CRS), a natural flavonoid, on cell injury produced by lung fibrosis induced with bleomycin (BLC) in rats. Twenty-eight female rats were assigned to four groups as follows: control group, CRS group; 50 mg/kg CRS was continued orally for 14 days, BLC group; a single intratracheal injection of BLC (2.5 mg/kg body weight in 0.25 ml phosphate buffered saline), BLC + CRS group; 50 mg/kg CRS was administered 1 day before the intratracheal BLC injection and continued for 14 days orally. All animals were sacrificed at day 14th after BLC administration. The semiquantitative assessment of histopathological consisting of lung inflammation and collagen deposition, tissue levels of thiobarbituric acid reactive substances (TBARS), superoxide dismutase (SOD), catalase (CAT), glutathione peroxidase (GPx), reducted glutathione (GSH) were measured. BLC provoked histological changes consisting of alveolar congestion, increase connective tissue, infiltration, and the thickness of alveolar wall were detected significantly when compared to the control group (p a parts per thousand currency signaEuro parts per thousand 0.0001). CRS supplementation significantly restored these histological damages (p a parts per thousand currency signaEuro parts per thousand 0.0001). The level of tissue TBARS was increased with BLC (p < 0.01). Increased level of TBARS was significantly reversed by CRS administration. Also, BLC administration reduced tissue activities of SOD, GPx, CAT, and GSH in the lung tissue compared to control group (p < 0.01). Furthermore, the reduction in activities of CAT, SOD, and level of GSH were prevented by CRS supplementation (p < 0.01). In this study, we demonstrated for the first time that CRS significantly prevents BLC-induced lung inflammation and fibrosis in rats. Further studies are needed to assess the role of CRS in the treatment of lung inflammation and fibrosis.Öğe Religious Officials' knowledge, attitude, and behavior towards smoking and the new tobacco law in Kahramanmaras, Turkey(Bmc, 2011) Sucakli, Mustafa Haki; Ozer, Ali; Celik, Mustafa; Kahraman, Hasan; Ekerbicer, Hasan CetinBackground: Tobacco control effort should be first started in people that are looked upon as role models for the general population. We aimed to determine the knowledge, attitude, and behavior of religious officials towards smoking and the new tobacco law. Method: The study group was comprised of 492 Imams and 149 Quran course instructors working in Kahramanmaras city of Turkey, 641 religious officials in total, and our survey form was applied on 406 (63.3%) of those religious officials who agreed to participate in the study. \ Results: Twenty-eight (6.9%) participants were current smokers and 35 (8.6%) were ex-smokers. 99.8% of the religious officials believed that smoking was harmful and/or prohibited in terms of religion. While 43.6% respondents thought smoking was haram (forbidden by Islam), 56.2% believed it was makruh (something regarded as reprehensible, though not forbidden by God according to Islam). 85.2% of the participants were aware of the recent tobacco law. 55.5% of the respondents, who were aware of the recent tobacco law, evaluated their knowledge level on the law as adequate, whereas 44.5% evaluated it as inadequate 92.4% of the participants noted that religious officials should play active roles in tobacco control effort. Conclusion: Smoking rate among religious officials is much lower than that of general public. In order to help religious officials to take a more active role on this issue, they should be trained on the subject and appropriate platforms should be established.Öğe Temperament and character profiles of male COPD patients(Ame Publishing Company, 2013) Kahraman, Hasan; Orhan, Fatma Ozlem; Sucakli, Mustafa Haki; Ozer, Ali; Koksal, Nurhan; Sen, BilalBackground: Chronic obstructive pulmonary disease (COPD) is a respiratory disorder, and is characterized by persistent airflow obstruction. These patients are exposed to severe physical limitations and substantial psychosocial trouble. The aims of this study were to determine the temperament and character profiles of personality in patients with COPD and to compare the results with those of healthy controls. Methods: Thirty-nine male COPD patients and 67 age-and gender-matched healthy controls completed the self-administered 240-item temperament and character inventory (TCI) and 14-item hospital anxiety and depression scale. The relationships between temperament and character personality profiles and clinical factors such as severity of COPD, anxiety, and depression were evaluated. Results: COPD patients had significantly higher mean scores of Harm avoidance and lower mean score of Self-directedness than those of healthy controls. In the COPD patients, the anxiety score was significantly higher (P=0.03) and the depression score was found to be insignificantly higher than that of control group. The TCI profiles were not correlated with the severity of COPD. In COPD patients, Self-directedness and Cooperativeness traits of TCI character negatively correlated with anxiety, but any of traits did not correlate with depression. Conclusions: The present study defined the Harm avoidance score was higher and Self-directedness was lower in COPD patients and the COPD severity did not correlate with any of the personality trait. We suggest that during evaluation of COPD patients for treatment, personality trait should also be considered in clinical practice.
